Optimum Rehab

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Wall Street Office Upper East Side Office Astoria Office
30 Wall St.,Suite 500 232 E. 66th St. 29-15 Astoria Blvd
Tel: (917) 267-7470
Tel: (917) 267-7470
Tel: (917) 267-7470

Thoracic Outlet Syndrome

Thoracic outlet syndrome is a group of disorders that occur when the blood vessels or nerves in the space between your collarbone and your first rib (thoracic outlet) become compressed. This can cause pain in your shoulders and neck and numbness in your fingers.

Common causes of thoracic outlet syndrome include physical trauma from a car accident, repetitive injuries from job- or sports-related activities, certain anatomical defects (such as having an extra rib), and pregnancy.


Thoracic outlet syndrome symptoms can vary, depending on which of the structures are compressed. When nerves are compressed, signs and symptoms of neurological thoracic outlet syndrome include:

    • Wasting in the fleshy base of your thumb (Gilliatt-Sumner hand)
    • Numbness or tingling in your arm or fingers
    • Pain or aches in your neck, shoulder or hand
    • Weakening grip
    • Signs and symptoms of vascular thoracic outlet syndrome can include
    • Discoloration of your hand (bluish color)
    • Arm pain and swelling, possibly due to blood clots
    • Blood clot in veins or arteries in the upper area of your body
    • Lack of color (pallor) in one or more of your fingers or your entire hand
    • Weak or no pulse in the affected arm
    • Cold fingers, hands or arms
    • Arm fatigue after activity
    • Numbness or tingling in your fingers
    • Weakness of arm or neck
    • Throbbing lump near your collarbone


In general, the cause of thoracic outlet syndrome is compression of the nerves or blood vessels in the thoracic outlet, just under your collarbone (clavicle). The cause of the compression varies and can include:

      • Anatomical defects. 
      • Poor posture.
      • Trauma. 
      • Repetitive activity. 
      • Pressure on your joints due to obesity.
      • Pregnancy. 


Treatments may include any of the following or a combination of several methods.

      • Physical therapy
      • Medications
      • Clot-dissolving medications
      • Surgery

At Optimum rehab our specialists well trained in physical therapy will guide you as to how you need to maintain a regular fitness and exercise regime that would minimize the problems of thoracic outlet syndrome.


Thoracic outlet syndrome that goes untreated for years can cause permanent neurological damage, so it's important to have your symptoms evaluated and treated early, or take steps to prevent the disorder.

      • Avoid repetitive movements and lifting heavy objects.
      • If obese, try getting fit so as to avoid thoracic outlet syndrome
      • Even if you don't have symptoms of thoracic outlet syndrome, avoid carrying heavy bags over your shoulder, because this can increase pressure on the thoracic outlet.
      • Stretch daily, and perform exercises that keep your shoulder muscles strong.
Home Thoracic Outlet Syndrome

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Wall Street Office.
30 Wall St., Suite 500
Tel: (917) 267-7470

Upper East Side.
232 E. 66th St.
Tel: (917) 267-7470

Astoria Office.
29-15 Astoria Blvd
Tel: (917) 267-7470

Our address


30 Wall St., Suite 500,New York, NY 10005

Tel: (917) 267-7470, Mail: web@optimumrehabnyc.com

232 E. 66th St.,New York, NY 10065

Tel: (917) 267-7470, Mail: web@optimumrehabnyc.com


29-15 Astoria Blvd, Astoria, NY 11102

Tel: (917) 267-7470, Mail: web@optimumrehabnyc.com